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#766 of 11K

92552

Pure tone audiometry, air only, each ear

Pure tone audiometry, air only, each ear is the #766 most-billed Medicaid procedure code, with $85.4M in payments across 7.0M claims from 2018–2024. The national median cost per claim is $12.63. Costs vary widely — the 90th percentile is $27.61 per claim, 2.2× the median.

Total Paid

$85.4M

0.01% of all spending

Total Claims

7.0M

Providers

4K

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 92552? Based on 4K providers billing this code nationally.

Median

$12.63

Average

$16.10

Std Dev

$26.41

Max

$720.17

Percentile Distribution (Cost per Claim)

p10
$0.99
p25
$5.43
Median
$12.63
p75
$20.80
p90
$27.61
p95
$35.00
p99
$98.72

50% of providers bill between $5.43 and $20.80 per claim for this code.

90% bill between $0.99 and $27.61.

Top 1% bill above $98.72.

About This Procedure

HCPCS code 92552 (Pure tone audiometry, air only, each ear) was billed by 4K providers across 7.0M claims, totaling $85.4M in Medicaid payments from 2018–2024. This code was used for 6.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.63

Providers Billing

4K

National Spending

$85.4M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 92552

#ProviderTotal Paid
1Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$1.7M
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.3M
31831209873$1.1M
4Banner Desert Medical Center

Mesa, AZ · General Acute Care Hospital

$932K
51033527957$869K
6Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$858K
71427616002$794K
81144275777$689K
91972523348$654K
10The Toledo Hospital

Toledo, OH · Pediatrics

$628K
111811023989$600K
121326225582$585K
131063507747$580K
141487644993$550K
151376508788$510K
161932545704$466K
17Children's Hospital Corporation

Boston, MA · Clinic/Center

$457K
181134206386$436K
191770880924$433K
201235253485$426K

Showing top 20 of 4K providers billing this code